Bonita Lois Martin, NP in De Queen, AR - Medicare Nurse Practitioner

Bonita Lois Martin, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in De Queen, Arkansas. Her current practice location is 500 E Collin Raye Dr, De Queen, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 584-1055.

Bonita Lois Martin is licensed to practice in Arkansas (license number 123723) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053950113.

Contact Information

	Bonita Lois Martin, NP
	500 E Collin Raye Dr, De Queen, AR 71832-8048
	(870) 584-1055
	Not Available

Map and Direction

Provider's Profile

Full Name	Bonita Lois Martin
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	500 E Collin Raye Dr, De Queen, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053950113
Provider Enumeration Date: 01/06/2020
Last Update Date: 02/11/2020

Medicare PECOS Information:

PECOS PAC ID: 9234567728
Enrollment ID: I20200316002314

Medical Identifiers

Medical identifiers for Bonita Lois Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053950113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	123723 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bonita Lois Martin allows following entities to bill medicare on her behalf.

Entity Name	Lansdell Family Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134596927 PECOS PAC ID: 9537478938 Enrollment ID: O20151027000301

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonita Lois Martin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bonita Lois Martin, NP 358 Bridge Creek Rd, Horatio, AR 71842-9000 Ph: (870) 784-2729	Bonita Lois Martin, NP 500 E Collin Raye Dr, De Queen, AR 71832-8048 Ph: (870) 584-1055

Reviews and Comments

Nurse Practitioner Nurses in De Queen, AR

John Robert Dean Bailey, APRN-CNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-518-0018 Fax: 870-627-3532
Samantha Kay Davis, MSN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1553 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3000
Kara Lynn Osuna, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1553 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3000 Fax: 870-584-3003
Meaghan Elana Harder, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1553 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3000 Fax: 870-584-3003
Autumn Dawn Morales, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 E Collin Raye Dr, De Queen, AR 71832 Phone: 870-557-7362
Chevi Brooke Lynn Moore, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3627

Bonita Lois Martin, NP - Medicare Nurse Practitioner in De Queen, AR